Hi Dear !! Thanks for your query to HCM . Read and reviewed your query and health concerns. IN the given situation of Yours,You seem to suffer from-Post-op anaemia with Acid reflux from ? anaemia/ or from accompanied IBS-C , causing acidity, in your case. Other Causes need to be investigated by Consults with attending Gynec-Surgeon and Specialist Physician to find out the cause of fatigue Do s Suggested- Proper checks from Gynec and Physician team, to evaluate the cause of acid reflux and fatigue, on the line of causes suggested above, would resolve the issue.This would need physical examination and needful investigations with lab and x-rays/CT studies of abdomen/pelvis. Continue Moringa, if its not harming with untoward effects. This plan would reduce your dilemma from frequency/Urgency and incontinence. Hope this would help you to plan further of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link- Dear, if satisfied,Don t forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services. If you want to update more details and ask more update queries , You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! Dr.Savaskar M.N. Senior Surgical Specialist M.S.Genl-CVTS